<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zhengshubianhao')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zhengshubianhao" class="form-control" name="row[zhengshubianhao]" type="text" value="{$row.zhengshubianhao|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shenfenzhenghao')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shenfenzhenghao" class="form-control" name="row[shenfenzhenghao]" type="text" value="{$row.shenfenzhenghao|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Peixunmingcheng')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-peixunmingcheng" class="form-control" name="row[peixunmingcheng]" type="text" value="{$row.peixunmingcheng|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Xingming')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-xingming" class="form-control" name="row[xingming]" type="text" value="{$row.xingming|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Xingbie')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-xingbie" data-rule="required" class="form-control selectpicker" name="row[xingbie]">
                {foreach name="xingbieList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.xingbie"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Jieye_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jieye_date" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[jieye_date]" type="text" value="{$row.jieye_date}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Chengji')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-chengji" class="form-control" name="row[chengji]" type="number" value="{$row.chengji|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
